Koplatadze A M, Bondarev Iu A, Nosov V A
Khirurgiia (Mosk). 1994 Dec(12):19-21.
The authors discuss the results of surgical treatment of 412 patients with complicated forms of acute paraproctitis. They found that one-stage radical surgical treatment may be performed in most patients. With strict observance of indications for each type of operative measures, careful surgical techniques, and effective treatment of the purulent operative wound, not only may the period of treatment be shortened but, which is most important, the incidence of postoperative complications may be considerably reduced and the best end results of the management of this most serious group of patients be achieved. But the authors also do not exclude the tactics of two-stage treatment.
作者讨论了412例复杂性急性直肠旁炎患者的手术治疗结果。他们发现，大多数患者可进行一期根治性手术治疗。严格遵守每种手术措施的适应证、采用精细的手术技术以及有效处理化脓性手术伤口，不仅可以缩短治疗时间，而且最重要的是，可以显著降低术后并发症的发生率，并实现对这组最严重患者的最佳治疗效果。但作者也不排除采用两阶段治疗的策略。
